| NPI | 1518935196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 1891) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OK 931) |
| 103TC0700X Psychologist, Clinical (Licence: IL 071-007508) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2016-10-06 |