| NPI | 1609241785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS12902) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2015-12-01 |