| NPI | 1861640393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071.007988) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 180.006929) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2011-11-23 |