| NPI | 1023093762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6328) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 71006936) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2024-03-05 |