| NPI | 1346532199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM 1266) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071007548) |
| 103TF0000X Psychologist, Family (Licence: IL 071007548) | |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2013-04-12 |