| NPI | 1245647809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: CO PSY-0004076) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: KS 2405) |
| 103TF0200X Psychologist, Forensic (Licence: IA 095614) | |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2021-07-14 |