| NPI | 1578627311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 4355) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071-006982) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2014-12-09 |