| NPI | 1265710446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 5431) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist, Clinical (Licence: IL 071008673) | |
| 103TC0700X Psychologist, Clinical (Licence: NC 5431) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071008673) | |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2022-12-29 |