NPI | 1568434603 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: IA 00753) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IL 077005258) |
Enumeration Date | 2006-02-03 |
Last Update Date | 2011-09-14 |