| NPI | 1346795473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY.61361216) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.009288) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2026-08-17 |