| NPI | 1548757412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 4665) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071009016) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-04-17 |