| NPI | 1003393489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO 0006403) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IL 071010264) |
| 103T00000X Psychologist | |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2024-09-18 |