| NPI | 1568663219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 29740) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW 15425) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2018-04-12 |