| NPI | 1831399070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 25859) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TC0700X Psychologist Clinical (Licence: IL 071.008348) | |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2022-02-02 |