| NPI | 1972767325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007502) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: IL 071007502) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IL 071007502) | |
| 103TH0004X Psychologist, Health (Licence: IL 071007502) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: IL 071007502) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2012-03-10 |