| NPI | 1306015391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OH 7096) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IL 071.008359) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2013-12-04 |