| NPI | 1447262720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 35060) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071007195) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2024-09-06 |