NPI | 1194999276 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: CA PSY26883) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY26883) |
103TF0200X Psychologist, Forensic (Licence: CA PSY26883) | |
Enumeration Date | 2008-04-18 |
Last Update Date | 2022-01-14 |