| NPI | 1700115979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-007527) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA PSY004204) |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2020-06-30 |