NPI | 1053409722 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071009102) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149-008520) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2023-11-10 |