| NPI | 1407340904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301018607) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071009812) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2025-09-30 |