| NPI | 1902337983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008982) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2015003872) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |