| NPI | 1750589479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 19080) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA LCS19080) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2019-03-13 |