| NPI | 1518097724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: IL 071009343) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA 22244) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CO PSY.0003826) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2016-10-13 |