| NPI | 1568660447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: IL W236154637) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2002026438) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2021-09-12 |