| NPI | 1881971612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008504) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 36100) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2021-05-18 |