| NPI | 1376641225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071009909) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH 5772) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2023-08-24 |