NPI | 1518533439 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.011349) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 94025990) |
Enumeration Date | 2021-06-01 |
Last Update Date | 2025-02-04 |