| NPI | 1811532880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071-010148) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071.010148) |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2023-06-07 |