| NPI | 1760867378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.010456) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 022223) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2025-07-02 |