| NPI | 1972710408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: KS 1246) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 1073) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2026-05-05 |