NPI | 1932480290 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008768) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2011-08-31 |
Last Update Date | 2020-10-30 |