| NPI | 1013338490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY30579) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.009467) |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2019-01-16 |