| NPI | 1093914913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: CA PSY11673) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY11673) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |