| NPI | 1922497429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006761) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.006761) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: IL 17867) | |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2024-11-01 |