NPI | 1538528906 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ PSY005033) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071009253) |
Enumeration Date | 2016-02-15 |
Last Update Date | 2018-12-13 |