NPI | 1023777042 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.009842) |
Additional Taxonomies | 103TS0200X Psychologist, School |
Enumeration Date | 2021-12-17 |
Last Update Date | 2021-12-17 |