| NPI | 1518766351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101YP2500X Counselor, Professional (Licence: IL 178017524) | |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2025-10-29 |