NPI | 1659645711 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.009256) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180008074) |
Enumeration Date | 2012-03-06 |
Last Update Date | 2021-01-04 |