| NPI | 1568654168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 200424A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071006987) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2012-02-15 |