NPI | 1194163303 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 25010) |
Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CO 0003868) |
Enumeration Date | 2013-06-10 |
Last Update Date | 2013-06-17 |