| NPI | 1639483878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20043349A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071008218) |
| 103T00000X Psychologist (Licence: IL 071.008218) | |
| 103T00000X Psychologist (Licence: NM 1201) | |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2024-02-09 |