| NPI | 1487901609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071009153) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.009063) |
| 101YP2500X Counselor, Professional (Licence: IL 178.007955) | |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2015-10-28 |