| NPI | 1174137301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3861-57) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH P.08350) |
| 103TC0700X Psychologist, Clinical (Licence: IL 071.011077) | |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2023-11-22 |