NPI | 1386747756 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 722248) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IL 722248) |
Enumeration Date | 2006-09-07 |
Last Update Date | 2007-10-19 |