| NPI | 1487866455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 3264) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.006207) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2021-05-10 |