| NPI | 1194272211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.009773) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 3563-57) |
| 103TC0700X Psychologist, Clinical (Licence: IN 20043101A) | |
| 103TC0700X Psychologist, Clinical (Licence: AK 114769) | |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2020-08-06 |