| NPI | 1619954401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 1020090) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: A17526) |
| 103T00000X Psychologist | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2007-07-08 |