| NPI | 1437424140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA PSY10000385) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071008299) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2025-11-03 |