| NPI | 1770645459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS13748) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY20279) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2011-05-02 |