NPI | 1528333408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008311) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IL 071008311) |
103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: IL 071008311) | |
Enumeration Date | 2012-03-12 |
Last Update Date | 2020-10-26 |