| NPI | 1831182534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071005896) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IL 071005896) |
| 103TH0004X Psychologist, Health (Licence: IL 071-005896) | |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2008-05-23 |