| NPI | 1942427521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.007650) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180-005584) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-25 |