| NPI | 1962840405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.010269) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 20042618A) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2020-03-30 |