| NPI | 1508953100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY28257) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA LCS20763) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2022-02-01 |