| NPI | 1043589575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 015296-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071005405) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2013-04-14 |