NPI | 1376766766 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006906) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IL 71006906) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 71006906) | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: IL 71006906) | |
Enumeration Date | 2007-04-11 |
Last Update Date | 2007-07-08 |