| NPI | 1588349963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.022234) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IA 130667) |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2025-09-23 |