NPI | 1669535456 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071005206) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146001511) |
Enumeration Date | 2006-12-19 |
Last Update Date | 2008-05-23 |