| NPI | 1285709634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY20855) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS15181) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-08 |