| NPI | 1386665867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IN 20041765A) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IL 071006289) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-09 |