| NPI | 1467790584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 11151) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071010749) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2023-10-16 |