| NPI | 1487951877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PA PS017196) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IL 071007826) |
| 103TC0700X Psychologist Clinical (Licence: PA TPS030119) | |
| Enumeration Date | 2011-02-21 |
| Last Update Date | 2015-03-25 |