NPI | 1043552342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.010800) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2013-03-25 |
Last Update Date | 2023-03-23 |