| NPI | 1184223364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071010346) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.010346) |
| 103TC0700X Psychologist, Clinical (Licence: IN 20043335A) | |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2021-02-15 |