| NPI | 1538183041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-003676) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301012964) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |