| NPI | 1295966729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY 14362) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 15692) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2009-10-04 |