NPI | 1609395581 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: IL 2040779) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA 160058816) |
Enumeration Date | 2017-09-12 |
Last Update Date | 2022-07-21 |