| NPI | 1730364472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY9333) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071007844) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2021-03-31 |