| NPI | 1518293364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-007575) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20042280A) |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2009-11-04 |