| NPI | 1255516001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008216) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178005286) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2013-03-05 |