NPI | 1174052252 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071009902) |
Additional Taxonomies | 103TS0200X Psychologist, School |
Enumeration Date | 2017-06-12 |
Last Update Date | 2019-03-18 |