| NPI | 1194055038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 10519) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.007659) |
| Enumeration Date | 2009-12-26 |
| Last Update Date | 2020-03-19 |