| NPI | 1376946798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071009151) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY9150) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2015-10-07 |