| NPI | 1912207028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC 1000668) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.007879) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |