NPI | 1306153812 |
---|---|
Former Name | ELLA GIMBURG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071.008436) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IL 071008436) |
Enumeration Date | 2010-09-03 |
Last Update Date | 2024-05-23 |