| NPI | 1396472585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301019222) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071008581) |
| Enumeration Date | 2022-08-06 |
| Last Update Date | 2023-03-02 |