| NPI | 1225029309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY35943) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA SW012392L) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2025-10-01 |