NPI | 1245362789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-003496) |
Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: IL 071-003496) |
103TH0100X Psychologist, Health Service (Licence: IL 071-003496) | |
103T00000X Psychologist (Licence: IL 071-003496) | |
Enumeration Date | 2007-03-11 |
Last Update Date | 2007-07-08 |