| NPI | 1528473584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 36473) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 88358) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2026-09-15 |