NPI | 1316999584 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY17968) |
Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CA PSY17968) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2019-02-15 |