| NPI | 1497780126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 1541) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071007319) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-06-24 |