| NPI | 1508170622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008301) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.005409) |
| 103TC0700X Psychologist, Clinical (Licence: IL 071.008301) | |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2023-03-12 |