| NPI | 1023862695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301019826) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.011195) |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2026-05-28 |