| NPI | 1861940744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071021022) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA PSY10610) |
| 103TC0700X Psychologist, Clinical (Licence: NY 025847) | |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2025-06-12 |