NPI | 1508083510 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008109) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149003472) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2018-06-27 |