| NPI | 1407450406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301018791) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.010408) |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2021-03-29 |