| NPI | 1164544839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-007651) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IL 071-007651) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071-007651) | |
| 103TF0000X Psychologist, Family (Licence: IL 071-007651) | |
| 103TC0700X Psychologist, Clinical (Licence: IL 071007651) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2014-10-13 |