| NPI | 1568642015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 25632) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20042297A) |
| 103TC0700X Psychologist, Clinical (Licence: IL 071-007687) | |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2022-10-07 |