NPI | 1083034698 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071009881) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2014-04-22 |
Last Update Date | 2020-05-05 |