| NPI | 1225435274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3259) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071-008908) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2021-01-20 |