| NPI | 1538404090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 021075) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071008475) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2016-05-04 |