| NPI | 1023340296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 125033627) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.005630) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2012-05-21 |