| NPI | 1396837837 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent | 
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071-006881)  | 
| Enumeration Date | 2006-09-29 | 
| Last Update Date | 2025-09-11 |