| NPI | 1154511103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071.007944) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: IL 071.007944) |
| 103TA0700X Psychologist Adult Development & Aging | |
| 103TP2701X Psychologist Group Psychotherapy | |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2011-09-09 |