NPI | 1588114490 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071009371) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071009371) |
103TC2200X Psychologist, Clinical Child & Adolescent | |
Enumeration Date | 2016-10-04 |
Last Update Date | 2018-11-20 |