| NPI | 1316340847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ PSY-004990) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178009902) |
| 103TC0700X Psychologist, Clinical (Licence: IL 071009211) | |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2021-09-28 |