NPI | 1396977146 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-005919) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071-005919) |
103TP2701X Psychologist, Group Psychotherapy (Licence: IL 071-005919) | |
Enumeration Date | 2009-08-12 |
Last Update Date | 2009-08-14 |