| NPI | 1316131477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: CA PSY23931) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 4454) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2015-09-28 |