| NPI | 1437439320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.009484) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 1415) |
| 103TC0700X Psychologist, Clinical (Licence: IN 20042751A) | |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2018-08-02 |