| NPI | 1487829768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008054) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20042443A) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2012-02-02 |