| NPI | 1255400644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCS18109) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 18109) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-07-08 |