| NPI | 1063538155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS12742) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA LCS12742) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2009-04-01 |