| NPI | 1295201291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.000532) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.009900) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2021-03-02 |