| NPI | 1578919486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 5591) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 0710097903) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2019-09-16 |