| NPI | 1962712695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178-005395) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2011-05-31 |