| NPI | 1821316126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP5318) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 20042112A) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2024-03-22 |