| NPI | 1952706640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 2955) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 2854) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2021-01-11 |