| NPI | 1528484367 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071.009822) | 
| Additional Taxonomies | 103T00000X Psychologist | 
| 103T00000X Psychologist (Licence: MA 10474) | |
| Enumeration Date | 2014-03-17 | 
| Last Update Date | 2018-08-29 |