| NPI | 1598100224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 30790) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180010245) |
| 103T00000X Psychologist (Licence: CA 30790) | |
| 225C00000X Rehabilitation Counselor (Licence: IL 180010245) | |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2023-07-22 |