| NPI | 1285745273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 34735) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.007405) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-05-27 |