| NPI | 1558848382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071011142) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY35919) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2026-07-30 |