| NPI | 1073199543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CA PSY24541) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: IL 071.007481) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2021-03-23 |