NPI | 1992980288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007491) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178-001-380) |
Enumeration Date | 2008-01-04 |
Last Update Date | 2008-07-21 |