NPI | 1497015242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071011041) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TC0700X Psychologist, Clinical (Licence: IL 071011041) | |
Enumeration Date | 2012-05-25 |
Last Update Date | 2024-07-18 |