| NPI | 1891891404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006376) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056-000558) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071006376) | |
| 103TF0000X Psychologist, Family (Licence: IL 071006376) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: IL 071006376) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: IL 071006376) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2010-07-12 |