| NPI | 1366625618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 31125) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071009086) |
| 103TC0700X Psychologist, Clinical (Licence: NY 017217) | |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2020-08-17 |