NPI | 1851441299 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 060-005216) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IL 060-005216) |
103TS0200X Psychologist, School (Licence: IL 060-005216) | |
Enumeration Date | 2007-01-10 |
Last Update Date | 2008-08-08 |