NPI | 1700570413 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.011031) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: UT 13007086-2501) |
Enumeration Date | 2023-06-06 |
Last Update Date | 2023-10-30 |