| NPI | 1902958119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 29917) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 26862) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-05-05 |