NPI | 1780062638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071009099) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071009099) |
103TH0004X Psychologist, Health | |
103TR0400X Psychologist, Rehabilitation | |
Enumeration Date | 2015-05-12 |
Last Update Date | 2022-04-06 |