| NPI | 1962775619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.008231) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 7222) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2015-01-08 |