| NPI | 1487766127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071005007) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041094355) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-07-30 |