| NPI | 1598916421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.009491) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 7455-123) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2022-09-08 |