NPI | 1710160650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-007362) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NH 1370) |
103TC0700X Psychologist, Clinical (Licence: VT 048.0110832) | |
103TC0700X Psychologist, Clinical (Licence: IL 071.007362) | |
Enumeration Date | 2007-12-13 |
Last Update Date | 2018-03-07 |