| NPI | 1134466238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY 26249) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IL 071 008502) |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2015-01-12 |