| NPI | 1922291681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071002207) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: IL 071002207) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-08-24 |