| 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 |