| NPI | 1790556918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 178.018824) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.018824) |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-18 |