| NPI | 1083234447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TF0200X Psychologist Forensic (Licence: MA 11113) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MA 11113) |
| 103TC0700X Psychologist Clinical (Licence: IL 071008764) | |
| Enumeration Date | 2020-04-25 |
| Last Update Date | 2020-04-25 |