| NPI | 1174243513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: IL 2010199) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA 210112629) |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-08-29 |