NPI | 1306153002 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008529) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2010-09-02 |
Last Update Date | 2015-08-25 |