NPI | 1265621668 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.008519) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN P0000002785) |
Enumeration Date | 2007-10-22 |
Last Update Date | 2013-06-24 |