| NPI | 1609593680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 34683) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IL 071022089) |
| 103TC0700X Psychologist Clinical (Licence: FL 12313) | |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2025-06-18 |