| NPI | 1720074370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA LS002545) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LS002545) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2024-06-10 |