| NPI | 1548548092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071008083) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: IL 07008083) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: IL 071008083) | |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2022-12-30 |