| NPI | 1982115705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.009694) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: IL 851515) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2021-12-27 |