| NPI | 1538528906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AZ PSY005033) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IL 071009253) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2018-12-13 |