| NPI | 1114433463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071010616) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 071010616) |
| Enumeration Date | 2017-12-22 |
| Last Update Date | 2022-11-14 |