NPI | 1760674683 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007608) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178003105) |
Enumeration Date | 2007-08-14 |
Last Update Date | 2012-01-12 |