NPI | 1497007520 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071.009505) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180008288) |
Enumeration Date | 2012-10-13 |
Last Update Date | 2017-03-15 |