| NPI | 1659645711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071.009256) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 180008074) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2021-01-04 |