| NPI | 1407163108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008460) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 3462) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2018-02-06 |