| NPI | 1609640101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2021042340) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.011047) |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2026-06-05 |