| NPI | 1073123675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 2023048120) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071.022449) |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2026-02-06 |