| NPI | 1023519493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071009309) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 017362) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2024-04-15 |