| NPI | 1023486040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.010266) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: IN 20043306B) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2020-06-01 |