NPI | 1215004163 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-005971) |
Additional Taxonomies | 103T00000X Psychologist (Licence: 71005971) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2021-04-30 |