| NPI | 1205041597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MA 8734) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IL 71007192) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2009-03-03 |