NPI | 1285729103 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007775) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2012015646) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2013-01-17 |