| NPI | 1235288085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 10697) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 5238) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |