| NPI | 1316173719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IL 071007698) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071007698) |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2024-06-12 |