NPI | 1215017124 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY13865) |
Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CA PSY13865) |
Enumeration Date | 2006-10-16 |
Last Update Date | 2011-11-17 |