| NPI | 1396080537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 07.1009501) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: HI PSY 1491) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2019-04-26 |