NPI | 1326258401 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071011217) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 85598) |
106H00000X Marriage & Family Therapist (Licence: IL 106.001138) | |
Enumeration Date | 2007-05-23 |
Last Update Date | 2024-05-22 |