| NPI | 1942506035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 2511) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: KS 2511) |
| 171M00000X Case Manager/Care Coordinator | |
| 103T00000X Psychologist (Licence: KS T-LMLP 2382) | |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2020-06-29 |