| NPI | 1790986313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071007694) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: IL 071007694) |
| 103T00000X Psychologist (Licence: IL 071007694) | |
| 103TF0000X Psychologist Family (Licence: IL 071007694) | |
| 103TC1900X Psychologist Counseling (Licence: IL 071007694) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2014-05-11 |