| NPI | 1922449578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 2105) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: KS 2105) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |