| NPI | 1023411329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301018580) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071008922) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2021-04-16 |