| NPI | 1346662418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY26875) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.008744) |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2019-12-17 |