| NPI | 1285944900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071.007992) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20042445A) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2010-10-15 |