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 |