NPI | 1437325503 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 23362) |
Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CA 23362) |
Enumeration Date | 2008-05-07 |
Last Update Date | 2019-06-13 |