| NPI | 1912112137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 017014) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.009434) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2021-04-26 |