| NPI | 1144798117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 5403) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071-010425) |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2021-01-25 |