NPI | 1992728638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071004453) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071004453) |
103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: IL 071004453) | |
103TP0814X Psychologist, Psychoanalysis (Licence: IL 071004453) | |
Enumeration Date | 2006-07-25 |
Last Update Date | 2007-08-09 |