| NPI | 1356405633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.007141) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: IL 1629342) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-07-08 |