| NPI | 1558541227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.007296) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: IL 071.007296) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2007-11-19 |