| NPI | 1063997153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OH P.08115) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IL 071009862) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2021-03-04 |