| NPI | 1457953200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY10043) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071009690) |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2020-11-16 |