| NPI | 1376612374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IN 20042496A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071004565) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071004565) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2012-07-20 |