| NPI | 1073821096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-010809) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MO 2017002012) |
| 103TC1900X Psychologist, Counseling (Licence: MO 2017002012) | |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2023-08-23 |