| NPI | 1164539326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071006126) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IL 071006126) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2012-01-12 |