| NPI | 1386106771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071009896) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OR 3170) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2023-11-20 |