| NPI | 1922439363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071009243) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178009712) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2016-03-18 |