| NPI | 1952618217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 3207) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071007968) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2020-05-28 |