| NPI | 1750746566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.009205) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004654) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2018-03-17 |