| NPI | 1861729014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.008028) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178005420) |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2012-07-02 |