| NPI | 1962632406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008033) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178006088) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2011-06-15 |