| NPI | 1487674628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071007298) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 180004710) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2018-10-17 |