| NPI | 1831591197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071010076) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301016228) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2022-08-06 |