NPI | 1487674628 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007298) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180004710) |
Enumeration Date | 2006-07-20 |
Last Update Date | 2018-10-17 |