NPI | 1124356704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071004275) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071---4275) |
Enumeration Date | 2009-11-19 |
Last Update Date | 2023-08-25 |