NPI | 1750051785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.010109) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 024072-01) |
Enumeration Date | 2021-09-21 |
Last Update Date | 2021-09-21 |