| NPI | 1154648160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071.005973) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: IL 071.005973) |
| 103G00000X Clinical Neuropsychologist (Licence: IL 071.005973) | |
| 103TF0200X Psychologist, Forensic (Licence: IL 071.005973) | |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2013-01-17 |