NPI | 1255651162 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007653) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.007653) |
Enumeration Date | 2010-06-03 |
Last Update Date | 2023-01-28 |