NPI | 1821125782 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 6330) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071-006414) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2017-03-21 |