NPI | 1184840340 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071-005166) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2021-10-25 |