NPI | 1861566267 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071005801) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071005801) |
103TC0700X Psychologist, Clinical (Licence: IL 071005001) | |
Enumeration Date | 2006-11-17 |
Last Update Date | 2025-09-11 |