| NPI | 1437632288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.009928) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 2997) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-12-09 |