| NPI | 1033510185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071010114) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20043256A) |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2019-11-06 |