| NPI | 1407094915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071.009658) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.004472) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2019-11-04 |