| NPI | 1174802730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008887) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166.000207) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2021-05-21 |