NPI | 1417599408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-010365) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling |
Enumeration Date | 2019-10-11 |
Last Update Date | 2022-03-04 |