NPI | 1346372638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: CA PSY20700) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 20700) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY 20700) | |
Enumeration Date | 2007-03-12 |
Last Update Date | 2022-10-29 |