| NPI | 1255076493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071010755) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY33410) |
| 103TC0700X Psychologist, Clinical (Licence: NY 024935) | |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2022-10-21 |