| NPI | 1639347040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 33612) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071.007300) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |