| NPI | 1942322938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.003645) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301005825) |
| 103TF0000X Psychologist, Family (Licence: IL 071.003645) | |
| 103TF0000X Psychologist, Family (Licence: MI 6301005825) | |
| 103TH0004X Psychologist, Health (Licence: IL 071.003645) | |
| 103TH0004X Psychologist, Health (Licence: MI 6301005825) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: IL 071.003645) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: MI 6301005825) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2015-03-23 |