| NPI | 1508054610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007365) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810007238) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2021-11-02 |