| NPI | 1639443641 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071008484)  | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.007728)  | 
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2012-03-08 | 
| Last Update Date | 2024-01-04 |