| NPI | 1205362977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.010182) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301016190) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2024-06-06 |