| NPI | 1578124749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.009891) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 3626-57) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-06-27 |