| NPI | 1427585231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 39771) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.010007) |
| 103TC0700X Psychologist, Clinical (Licence: IL 071.009463) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-06-02 |