| NPI | 1225101587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 8398) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 8398) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-08 |