| NPI | 1083717490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.010808) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OR 1535) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2022-08-11 |