| NPI | 1003965930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008056) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 22361) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2022-07-19 |