NPI | 1174270052 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 1174270052) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071008110) |
Enumeration Date | 2022-03-09 |
Last Update Date | 2022-04-25 |