| NPI | 1376015396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.008872) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 018447-1) |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-01-02 |