NPI | 1679680565 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071005346) |
Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: IL 071005346) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2008-05-26 |