NPI | 1255647038 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071010020) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071010020) |
Enumeration Date | 2010-08-31 |
Last Update Date | 2023-12-30 |