| NPI | 1447474473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 710002469) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IL 7100002469) |
| 103TC0700X Psychologist, Clinical (Licence: IL 710002469) | |
| 103TH0004X Psychologist, Health (Licence: IL 7100002469) | |
| 106H00000X Marriage & Family Therapist (Licence: IL 710002469) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |