| NPI | 1053569681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 27005) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171W00000X Contractor | |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |