NPI | 1003143637 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.008910) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AR 13-01P) |
Enumeration Date | 2009-11-03 |
Last Update Date | 2022-12-01 |