| NPI | 1699040147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-009681) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TF0200X Psychologist, Forensic | |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2023-01-27 |