NPI | 1225381809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: IL 074000004) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071007126) |
Enumeration Date | 2012-10-19 |
Last Update Date | 2020-10-27 |