| NPI | 1710282058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071005570) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 39582) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2024-04-11 |