| NPI | 1669032348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: OH P.07977) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IL 071.009809) |
| Enumeration Date | 2019-06-16 |
| Last Update Date | 2022-10-14 |