| NPI | 1588014633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071010852) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY27983) |
| 103TC1900X Psychologist, Counseling (Licence: CA PSY27983) | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2022-10-18 |