| NPI | 1063589315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-006764) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AL 001331) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2008-06-06 |