| NPI | 1871916437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008776) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS 2157) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2020-01-29 |