| NPI | 1043621550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008668) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY9927) |
| 103TC0700X Psychologist, Clinical (Licence: NY 027326-01) | |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2025-07-11 |