NPI | 1811489933 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.011318) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.013830) |
Enumeration Date | 2018-06-04 |
Last Update Date | 2024-10-30 |