| NPI | 1134014475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: IL 2489087) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: WI 898111) |
| 103TS0200X Psychologist School (Licence: IN 10317112) | |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-06-09 |