| NPI | 1104247709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071009204) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178.009650) |
| Enumeration Date | 2013-12-27 |
| Last Update Date | 2015-12-10 |