| NPI | 1649762667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071010390) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: WV 1198) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2021-05-28 |