NPI | 1932307170 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071009802) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.002279) |
103TC0700X Psychologist, Clinical (Licence: KS 2577) | |
Enumeration Date | 2007-07-10 |
Last Update Date | 2018-08-16 |