NPI | 1114224656 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.010187) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN 3011) |
103TC0700X Psychologist, Clinical (Licence: WI 3962-57) | |
Enumeration Date | 2011-02-18 |
Last Update Date | 2024-02-12 |