| NPI | 1336338078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 096453) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180006489) |
| 103TC0700X Psychologist, Clinical (Licence: IL 180006489) | |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2019-07-25 |