| NPI | 1639298698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY16086) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS5372) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-10-03 |