NPI | 1275903866 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071009146) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: IL 071009146) |
Enumeration Date | 2015-09-25 |
Last Update Date | 2017-01-11 |