NPI | 1710051644 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-003799) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
103TH0100X Psychologist, Health Service | |
103T00000X Psychologist (Licence: IL 071-003799) | |
103T00000X Psychologist | |
Enumeration Date | 2006-11-20 |
Last Update Date | 2014-11-14 |