| NPI | 1528461027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: IL 074.000009) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.010578) |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810005106) | |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2025-01-17 |