| NPI | 1265710180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-004439) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 1622) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2011-07-26 |