| NPI | 1194815944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 71-2763) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: IL 1163916) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-08 |