NPI | 1467608158 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: CA PSY20115) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY20115) |
Enumeration Date | 2008-08-13 |
Last Update Date | 2017-01-31 |