| NPI | 1336612647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: IL 46602) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071009814) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |