NPI | 1588825103 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-007057) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071-007057) | |
103TH0004X Psychologist, Health | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
Enumeration Date | 2008-06-17 |
Last Update Date | 2017-03-24 |