| NPI | 1992381727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 6750) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSY.0005562) |
| 103T00000X Psychologist (Licence: IL 071010903) | |
| 103TC0700X Psychologist, Clinical (Licence: IL 071010903) | |
| 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005562) | |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2025-07-28 |