NPI | 1184767345 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071004489) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166000148) |
Enumeration Date | 2007-02-15 |
Last Update Date | 2007-07-08 |