NPI | 1821427204 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007991) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180008812) |
Enumeration Date | 2013-11-05 |
Last Update Date | 2013-11-05 |