NPI | 1447323365 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003995) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071007700) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2022-07-16 |