| NPI | 1700175833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: IL 071008111) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IL 071008111) |
| 103TF0000X Psychologist Family (Licence: IL 071008111) | |
| 103TH0004X Psychologist Health (Licence: IL 071008111) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: IL 071008111) | |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2011-03-29 |