| NPI | 1598031080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071.007190) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: IL 071.007190) |
| 103TC0700X Psychologist Clinical (Licence: TX 37291) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: IL 071.007190) | |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2019-02-27 |