| NPI | 1154123271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 35797) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.021039) |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-03-27 |