| NPI | 1437550068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2765) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.009234) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2017-03-08 |