NPI | 1710405311 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 3472-57) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071009519) |
Enumeration Date | 2017-09-03 |
Last Update Date | 2017-09-03 |