| NPI | 1932236924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 2019-057) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071005487) |
| 163W00000X Registered Nurse (Licence: IL 041189913) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2025-09-11 |