| NPI | 1265630537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071009597) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 016572-1) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2019-03-25 |