NPI | 1144538356 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071.007003) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071.007003) |
Enumeration Date | 2010-09-22 |
Last Update Date | 2010-09-22 |