| NPI | 1215008313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 180-000975) |
| 101YM0800X Counselor Mental Health (Licence: IL 180-000975) | |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2009-03-16 |