| NPI | 1205922051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCS17395) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY 21892) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2008-03-28 |