| NPI | 1265670202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL 9262) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA 15988) |
| 103TC0700X Psychologist Clinical (Licence: IL 071007549) | |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2018-03-17 |