NPI | 1649764622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071009780) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071009780) |
Enumeration Date | 2018-06-21 |
Last Update Date | 2019-06-28 |