NPI | 1013221175 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071005035) |
Additional Taxonomies | 103T00000X Psychologist (Licence: TN 2362) |
Enumeration Date | 2010-08-01 |
Last Update Date | 2013-08-06 |