| NPI | 1760491997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-006872) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20041999A) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2010-01-19 |