| NPI | 1790263192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071011001) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005436) | |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2023-11-22 |