| NPI | 1174270052 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 1174270052)  | 
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071008110)  | 
| Enumeration Date | 2022-03-09 | 
| Last Update Date | 2022-04-25 |