| NPI | 1699088401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.010222) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.006571) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2020-05-26 |