NPI | 1912085580 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007172) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149-006496) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2023-10-11 |