| NPI | 1801302633 |
|---|---|
| Former Name | OCTAVIA GAVRILA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 4612) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: CA LMFT94660) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |