NPI | 1487178018 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071010070) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2017-07-25 |
Last Update Date | 2019-09-09 |