| NPI | 1699134411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 022060) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IL 071.011113) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2024-03-08 |