| NPI | 1285157511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071011365) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN LP6444) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2025-06-11 |