NPI | 1255447322 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071004504) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: IL 071004504) |
Enumeration Date | 2006-08-22 |
Last Update Date | 2011-08-30 |