| NPI | 1245578996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY34658) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: 64979) |
| 1041C0700X Social Worker Clinical (Licence: CA 32146) | |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2024-03-08 |