| NPI | 1578282679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TF0000X Psychologist, Family (Licence: IL 166.001611) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: NY 002002) |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2024-05-20 |