NPI | 1023341500 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: CA psy 16001) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA psy 16001) |
Enumeration Date | 2009-09-15 |
Last Update Date | 2022-06-07 |