| NPI | 1114351764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 29781) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: CA LCS 29781) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |