| NPI | 1750051785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.010109) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 024072-01) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2021-09-21 |