NPI | 1396940219 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178004978) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071007568) |
Enumeration Date | 2007-06-20 |
Last Update Date | 2015-11-19 |