| NPI | 1356854467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.010146) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 29626) |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2022-05-15 |