NPI | 1912547969 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.010333) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ PSY-005201) |
Enumeration Date | 2020-01-07 |
Last Update Date | 2022-07-12 |