NPI | 1407087968 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007807) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071007807) |
103TC2200X Psychologist, Clinical Child & Adolescent | |
Enumeration Date | 2009-08-01 |
Last Update Date | 2018-04-30 |