| NPI | 1649589599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WI 3457) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IL 071008435) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2023-02-26 |