NPI | 1356634562 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 24923) |
Additional Taxonomies | 103TF0200X Psychologist, Forensic |
Enumeration Date | 2011-05-20 |
Last Update Date | 2012-11-01 |