NPI | 1558769109 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071009542) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149017112) |
Enumeration Date | 2014-12-15 |
Last Update Date | 2018-11-06 |