| NPI | 1659825586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.009435) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS LP 2432) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-12-06 |