| NPI | 1003047382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY3606) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071007913) |
| 103TC0700X Psychologist, Clinical (Licence: IN 20042371A) | |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2018-08-03 |