NPI | 1528281920 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY24584) |
Additional Taxonomies | 103TF0200X Psychologist, Forensic |
Enumeration Date | 2007-04-11 |
Last Update Date | 2012-03-05 |