| NPI | 1750760252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IA 001293) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071008724) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |