NPI | 1265864094 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071009163) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 3293-57) |
Enumeration Date | 2013-08-03 |
Last Update Date | 2021-03-30 |