| NPI | 1003231135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 38042) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071008714) |
| 103TC0700X Psychologist, Clinical (Licence: IN 20042743A) | |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2023-03-01 |