NPI | 1932236924 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071005487) |
Additional Taxonomies | 103T00000X Psychologist (Licence: WI 2019-057) |
163W00000X Registered Nurse (Licence: IL 041189913) | |
Enumeration Date | 2007-02-27 |
Last Update Date | 2007-07-08 |