| NPI | 1093067589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008426) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071008426) |
| 103TF0000X Psychologist, Family (Licence: IL 071008426) | |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2013-01-16 |