| NPI | 1720505191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 5333) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.008851) |
| Enumeration Date | 2017-08-27 |
| Last Update Date | 2025-09-05 |