NPI | 1942411806 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071-005309) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071-005309) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2007-07-08 |