| NPI | 1255703971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2018000612) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: IL 071-009144) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2020-12-04 |