| NPI | 1982189700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071010699) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 4148226) |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2022-03-03 |