| NPI | 1245550797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.006406) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071.006406) |
| 103TC1900X Psychologist, Counseling (Licence: IL 071.006406) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: IL 071.006406) | |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2013-02-18 |