| NPI | 1912043753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY21176) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA PSY21176) |
| 171M00000X Case Manager/Care Coordinator (Licence: CA PSY21176) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2022-01-26 |