| NPI | 1356631147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 021696-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071009167) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2018-04-24 |