| NPI | 1497034375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301014871) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071007572) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2023-12-11 |