| NPI | 1114224656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.010187) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN 3011) |
| 103TC0700X Psychologist, Clinical (Licence: WI 3962-57) | |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2024-02-12 |