NPI | 1043342611 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 4939) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 71007097) |
Enumeration Date | 2007-03-09 |
Last Update Date | 2020-04-04 |