| NPI | 1861566267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071005801) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071005001) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071005801) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-08 |