| NPI | 1588133110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 38336) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071009979) |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2023-01-11 |