NPI | 1437278108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.004078) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166.000281) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2007-07-08 |