| NPI | 1972657724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY0003624) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071006472) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2023-09-21 |