| NPI | 1912524828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY12316) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.010336) |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2025-03-04 |