| NPI | 1962928259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071010818) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2022-09-19 |