| NPI | 1457956989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 34661) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IL 071.010424) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2024-08-20 |