| NPI | 1013434620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.010123) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.009594) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2019-10-16 |