| NPI | 1326536749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071.010774) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS018504) | |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2022-07-06 |