| NPI | 1952558959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: IL 071007891) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 00998) |
| 103TC0700X Psychologist, Clinical (Licence: IL 071007891) | |
| 103TF0200X Psychologist, Forensic (Licence: IA 00998) | |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2022-11-16 |