NPI | 1952052300 |
---|---|
Other Name | KYLIE LICHTENSTEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS020390) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: PA PS020390) |
Enumeration Date | 2022-01-17 |
Last Update Date | 2025-01-24 |