| NPI | 1750540258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 2988) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071008201) |
| 103TH0004X Psychologist, Health (Licence: IL 071008201) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2013-07-26 |