| NPI | 1972644953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-004875) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071-004875) |
| 163W00000X Registered Nurse (Licence: IL 041-176304) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: IL 041-176304) | |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2007-07-08 |