NPI | 1992753784 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-005103) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.005103) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2021-04-15 |