| NPI | 1407330483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071011066) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IA 089117) |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2024-01-10 |