| NPI | 1609482538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY10846) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY10846) |
| 103T00000X Psychologist (Licence: IL 071.010341) | |
| 103TC0700X Psychologist Clinical (Licence: IL 071.010341) | |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2024-01-22 |