| NPI | 1114229531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY31083) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071007981) |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY31083) | |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2024-04-08 |