NPI | 1306171772 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: IL 071.008462) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.008462) |
Enumeration Date | 2009-10-02 |
Last Update Date | 2013-02-13 |