NPI | 1265080345 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00684600) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071010542) |
Enumeration Date | 2019-08-31 |
Last Update Date | 2023-03-28 |