| NPI | 1043453681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.001207) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 2770.057) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2009-04-13 |