| NPI | 1619510914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 06199) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| 103TS0200X Psychologist, School (Licence: IL 2399934) | |
| Enumeration Date | 2019-10-20 |
| Last Update Date | 2019-10-20 |