NPI | 1861762734 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071.008275) |
Additional Taxonomies | 103TH0004X Psychologist Health (Licence: IL 071.008275) |
Enumeration Date | 2012-01-09 |
Last Update Date | 2012-10-24 |