NPI | 1316173719 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IL 071007698) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071007698) |
Enumeration Date | 2009-06-01 |
Last Update Date | 2024-06-12 |