NPI | 1366019432 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.010527) |
Additional Taxonomies | 103TF0200X Psychologist, Forensic |
Enumeration Date | 2021-06-08 |
Last Update Date | 2021-06-08 |