| NPI | 1265621668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.008519) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN P0000002785) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2013-06-24 |