| NPI | 1043504970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 27087) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 25733) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2022-02-11 |