| NPI | 1609036631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006937) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MN LP5552) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2024-02-20 |