| NPI | 1033631643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY004564) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 10758) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 071009607) | |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2022-01-03 |