NPI | 1902460645 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178014854) |
Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: IL 180013504) |
Enumeration Date | 2019-04-29 |
Last Update Date | 2022-02-22 |