| NPI | 1972027449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS LP03060-T) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MO 2022036811) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2022-09-14 |