| NPI | 1689286213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 0005306) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 71006560) |
| 103TC0700X Psychologist, Clinical (Licence: MO 2013014520) | |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |