| NPI | 1174535702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 2499-057) |
| 103T00000X Psychologist (Licence: FL PY11006) | |
| 103TC0700X Psychologist, Clinical (Licence: IL 071007732) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2023-01-19 |