| NPI | 1043489479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS LP1686) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.006744) |
| 103TF0200X Psychologist, Forensic (Licence: KS LP1686) | |
| 103TC0700X Psychologist, Clinical (Licence: IL 071007447) | |
| 103TF0200X Psychologist, Forensic (Licence: IL 071007447) | |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-03-25 |