| NPI | 1285387456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178018894) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 103TC0700X) |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2023-04-20 |