NPI | 1467649004 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071008608) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
103T00000X Psychologist (Licence: NE 822) | |
Enumeration Date | 2007-09-27 |
Last Update Date | 2022-01-18 |