| NPI | 1336926955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP7229) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071.011014) |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2025-08-26 |