NPI | 1720110430 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: IL 149002248) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149002248) |
Enumeration Date | 2007-03-09 |
Last Update Date | 2007-07-08 |