NPI | 1639567274 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007564) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 271000120) |
Enumeration Date | 2015-01-06 |
Last Update Date | 2015-01-06 |