| NPI | 1659980779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071.010353) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist, Clinical (Licence: MI 6301019449) | |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2025-04-30 |