| NPI | 1992732788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071010232) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IA 099819) |
| 103TC1900X Psychologist, Counseling (Licence: CO 0005085) | |
| 103TC0700X Psychologist, Clinical (Licence: ID 203117) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2024-06-30 |