| NPI | 1154514115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: IL 178.004967) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: IL 180008062) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2018-05-02 |