NPI | 1467766709 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-008-220) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103T00000X Psychologist | |
103TP2701X Psychologist, Group Psychotherapy | |
Enumeration Date | 2010-07-28 |
Last Update Date | 2018-03-17 |