| NPI | 1598194813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 4230) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071-003977) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |