| NPI | 1386930436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071008661) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.007192) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2013-10-08 |