| NPI | 1871810481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.007851) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 7144) |
| 103TF0200X Psychologist, Forensic (Licence: IL 071.007851) | |
| 103TF0200X Psychologist, Forensic (Licence: OH 7144) | |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2022-11-01 |