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 |