NPI | 1720282437 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 71008174) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IL 71008174) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: MD 4125) | |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: IL 71008174) | |
Enumeration Date | 2007-06-14 |
Last Update Date | 2022-04-13 |