| NPI | 1831539055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.008765) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.006824) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2014-02-18 |