| NPI | 1730118217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 8559) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA Psy 9690) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-09 |