| NPI | 1851445183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS23362) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSB 37118) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2021-12-30 |