| NPI | 1134304280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.007603) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY 7461) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2014-11-24 |