| NPI | 1801522040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 39384) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.010227) |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2022-08-25 |