| NPI | 1154547628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY-1468) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 07100669) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2018-02-06 |