| NPI | 1063075141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.009515) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: IL 071.009515) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: IL 071.009515) | |
| 103T00000X Psychologist (Licence: IL 071.009515) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IL 071.009515) | |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2019-12-18 |