| NPI | 1801107586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.007899) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20042386A) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2010-06-28 |