NPI | 1760806012 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071009835) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS01348) |
Enumeration Date | 2014-02-06 |
Last Update Date | 2019-02-05 |