| NPI | 1972885390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY34217) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW27469) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2024-01-24 |