| NPI | 1144765157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071009702) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 180010731) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2018-10-10 |