| NPI | 1922192772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071003390) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 1843) |
| 103TF0200X Psychologist, Forensic (Licence: IL 071003390) | |
| 103T00000X Psychologist (Licence: IL 071003390) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |