| NPI | 1912952623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-008155) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA PSY002854) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2021-09-29 |