| NPI | 1578995643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071010434) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: KY 2013-61) |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2021-05-13 |