NPI | 1639443641 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071008484) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.007728) |
101YP2500X Counselor, Professional | |
Enumeration Date | 2012-03-08 |
Last Update Date | 2024-01-04 |