| NPI | 1346997798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.010714) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: SD 629) |
| Enumeration Date | 2022-03-06 |
| Last Update Date | 2022-04-27 |