NPI | 1114433463 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071010616) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 071010616) |
Enumeration Date | 2017-12-22 |
Last Update Date | 2022-11-14 |