NPI | 1699881656 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071002723) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071002723) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071002723) | |
Enumeration Date | 2006-08-22 |
Last Update Date | 2013-03-31 |