| NPI | 1134772411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071-006825) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071-006825) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2022-03-04 |