| NPI | 1720003056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY 19618) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2019-04-04 |