| NPI | 1750725495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008565) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS 2064) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2014-09-18 |