| NPI | 1417253311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 4133) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071005503) |
| 103TC0700X Psychologist Clinical (Licence: IN 20041204A) | |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2022-01-03 |