NPI | 1255050266 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.021077) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.014645) |
Enumeration Date | 2022-08-23 |
Last Update Date | 2025-05-15 |