NPI | 1477847820 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 15237) |
Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CA PSY 15237) |
Enumeration Date | 2011-06-02 |
Last Update Date | 2011-06-23 |