NPI | 1982031241 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071009105) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY27013) |
Enumeration Date | 2013-10-02 |
Last Update Date | 2024-01-04 |