| NPI | 1316389760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 1543647) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.002967) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2013-07-26 |