| NPI | 1588849400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071007787) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178002589) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: IL 071007787) | |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2020-11-27 |