NPI | 1265997936 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY30699) |
Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CA PSY30699) |
Enumeration Date | 2019-02-06 |
Last Update Date | 2024-10-22 |