NPI | 1912374968 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071010777) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178011105) |
Enumeration Date | 2015-08-25 |
Last Update Date | 2022-06-22 |