| NPI | 1013445592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY004170) |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: IL 071009529) |
| 103TC0700X Psychologist, Clinical (Licence: IL 071009529) | |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2018-01-23 |