NPI | 1629247143 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: CA PSY15890) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY15890) |
103TH0004X Psychologist, Health (Licence: CA PSY15890) | |
Enumeration Date | 2008-02-28 |
Last Update Date | 2008-02-28 |