| NPI | 1699296160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL L52016091636) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2017-09-06 |