| NPI | 1962671156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007169) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IL 071007169) |
| 101YP1600X Counselor, Pastoral (Licence: IL 071007169) | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: IL 071007169) | |
| 103TC1900X Psychologist, Counseling (Licence: IL 071007169) | |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2024-05-09 |