| NPI | 1558500496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 33884) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.007469) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2009-02-17 |