| NPI | 1467974485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 29723) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IL 071007595) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2018-05-02 |