NPI | 1962803197 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.010882) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY 9118) |
Enumeration Date | 2014-09-08 |
Last Update Date | 2023-06-14 |