| NPI | 1467174540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.009856) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005262) |
| 103TF0200X Psychologist, Forensic (Licence: CO PSY.0005262) | |
| 103TF0200X Psychologist, Forensic (Licence: IL 071.009856) | |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2022-12-14 |