NPI | 1538692561 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.009695) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071009695) |
Enumeration Date | 2017-04-06 |
Last Update Date | 2018-03-28 |