| NPI | 1295803716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TX 34113) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IL 071006454) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2009-08-06 |