| NPI | 1265520431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 2939) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301007511) |
| 103TC0700X Psychologist, Clinical (Licence: IL 071.006541) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2019-05-07 |