| NPI | 1659723765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071009424) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071.009424) |
| 103TC0700X Psychologist, Clinical (Licence: NY 020149) | |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2021-03-16 |