NPI | 1881971612 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008504) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 36100) |
Enumeration Date | 2011-11-08 |
Last Update Date | 2021-05-18 |