| NPI | 1609395581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: IL 2040779) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA 160058816) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2022-07-21 |