NPI | 1457793408 |
---|---|
Former Name | SANDY SCHULTE MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY19876) |
Additional Taxonomies | 103TF0200X Psychologist Forensic (Licence: CA PSY 19876) |
Enumeration Date | 2013-07-18 |
Last Update Date | 2022-08-05 |