| NPI | 1912411539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3769) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.009665) |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2022-10-14 |