| NPI | 1053409722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071009102) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 149-008520) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2023-11-10 |