NPI | 1649539560 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.010496) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2012-05-12 |
Last Update Date | 2024-07-29 |