| NPI | 1851460968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IN 20041300A) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IL 071005821) |
| 103TC0700X Psychologist Clinical (Licence: FL PY9548) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2019-08-01 |