| NPI | 1477792877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 4204478) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 2679-57) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2021-09-28 |