| NPI | 1770020398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY27473) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.009382) |
| 103TC0700X Psychologist, Clinical (Licence: MD 05381) | |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2021-05-26 |