| NPI | 1821125782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MA 6330) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IL 071-006414) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2017-03-21 |