| NPI | 1649764622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071009780) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IL 071009780) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2019-06-28 |