| NPI | 1639687205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 4120) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.011110) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2025-12-17 |