NPI | 1336370949 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008154) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL Py-7929) |
Enumeration Date | 2009-07-30 |
Last Update Date | 2011-09-06 |