| NPI | 1831476985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI 4156) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.021040) |
| 103TC0700X Psychologist, Clinical (Licence: NC 4187) | |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2025-06-04 |