NPI | 1578949251 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071010047) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180009826) |
Enumeration Date | 2015-08-05 |
Last Update Date | 2019-08-02 |