| NPI | 1912411539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 3769-057) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 3769) |
| 103T00000X Psychologist (Licence: IL 071.009665) | |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2026-09-25 |