| NPI | 1760806012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071009835) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: RI PS01348) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2019-02-05 |