| NPI | 1912182304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007402) |
| Additional Taxonomies | 171W00000X Contractor (Licence: IL 071007402) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2022-05-31 |