| NPI | 1194123547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 37789) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071008944) |
| 103T00000X Psychologist (Licence: TX 37789) | |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2018-04-30 |