| NPI | 1972972941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 171243) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KY PSYPAT00222503) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2018-06-14 |