| NPI | 1619109220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS018038) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071007599) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071007599) | |
| 103TF0000X Psychologist, Family (Licence: IL 071007599) | |
| 103T00000X Psychologist (Licence: IL 071007599) | |
| 103T00000X Psychologist (Licence: PA PS018038) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IL PS038018) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PA PS018038) | |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2024-06-03 |