| NPI | 1508066044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.007786) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 017198) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2011-12-21 |