| NPI | 1184060071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 4822) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IL 071.009173) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2017-02-17 |