| NPI | 1881090553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 7304) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.010433) |
| 103TC0700X Psychologist, Clinical (Licence: IL 071009034) | |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2023-10-15 |