| NPI | 1205416112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0200X Psychologist Forensic (Licence: CA PSY31112) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY31112) |
| 103TF0200X Psychologist Forensic (Licence: AK 155806) | |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-04-14 |