| NPI | 1790092229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071008771) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2019-01-12 |