| NPI | 1508520230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: CA 32930) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 32930) |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2022-06-29 |