| NPI | 1689359366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.011046) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 5053-57) |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2023-10-17 |