NPI | 1629845763 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.011301) |
Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation |
Enumeration Date | 2023-12-08 |
Last Update Date | 2025-06-05 |