NPI | 1942322938 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.003645) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301005825) |
103TF0000X Psychologist, Family (Licence: IL 071.003645) | |
103TF0000X Psychologist, Family (Licence: MI 6301005825) | |
103TH0004X Psychologist, Health (Licence: IL 071.003645) | |
103TH0004X Psychologist, Health (Licence: MI 6301005825) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: IL 071.003645) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: MI 6301005825) | |
Enumeration Date | 2007-04-03 |
Last Update Date | 2015-03-23 |