| NPI | 1710160650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-007362) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NH 1370) |
| 103TC0700X Psychologist, Clinical (Licence: VT 048.0110832) | |
| 103TC0700X Psychologist, Clinical (Licence: IL 071.007362) | |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2018-03-07 |