| NPI | 1821240383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.008357) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 015536-1) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2021-07-26 |