| NPI | 1871996843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 26554) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071008989) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2017-12-18 |