NPI | 1871651232 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071001880) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071001880) |
103TC2200X Psychologist, Clinical Child & Adolescent | |
Enumeration Date | 2006-12-05 |
Last Update Date | 2011-12-28 |