NPI | 1295906576 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008516) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166000794) |
Enumeration Date | 2008-03-14 |
Last Update Date | 2022-09-14 |