| NPI | 1801006549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-003150) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 071003150) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2021-04-21 |