| NPI | 1528762192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.022351) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 543357) |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2025-09-12 |