NPI | 1265531974 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: IL 071003101) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071003101) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2007-10-27 |