NPI | 1205025152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY 7091) |
Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CA PSY 7091) |
Enumeration Date | 2007-10-16 |
Last Update Date | 2007-10-16 |