| NPI | 1316351547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005489) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071008840) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2020-02-25 |