| NPI | 1770868861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008258) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DC PSY1000721) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 019221) | |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2013-12-26 |