| NPI | 1093255929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WI 3493-57) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IL 071.009482) |
| Enumeration Date | 2017-02-25 |
| Last Update Date | 2018-06-13 |