NPI | 1982758793 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-005380) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164000546) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2007-07-08 |