| NPI | 1851707640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.009011) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.007259) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2020-12-22 |