| NPI | 1467467894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071005494) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 2032057) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2008-08-30 |