| NPI | 1093981524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 31408) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS25646) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2023-06-15 |