| NPI | 1477612646 |
|---|---|
| Former Name | JAIMIE SOKHENG PICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA psy26593) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA lcs22086) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2019-08-08 |