| NPI | 1720359532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008323) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: ID PSY-202587) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2015-07-30 |