| NPI | 1265864094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071009163) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 3293-57) |
| Enumeration Date | 2013-08-03 |
| Last Update Date | 2021-03-30 |