| NPI | 1568657682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 24140) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 16939) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2021-01-22 |