NPI | 1619933124 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-006710) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IL 071-006710) |
Enumeration Date | 2006-04-24 |
Last Update Date | 2010-08-23 |