NPI | 1245377969 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-002945) |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: IL 071-002945) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071-002945) | |
103TF0000X Psychologist, Family (Licence: IL 071-002945) | |
103T00000X Psychologist (Licence: IL 071-002945) | |
Enumeration Date | 2007-01-31 |
Last Update Date | 2011-03-13 |