| NPI | 1770573479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006917) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 071006917) |
| 103G00000X Clinical Neuropsychologist (Licence: IL 071.006917) | |
| 103T00000X Psychologist (Licence: IL 071.006917) | |
| 103TP0016X Psychologist, Prescribing (Medical) | |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2025-02-23 |