NPI | 1669789343 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY27053) |
Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CA PSY27053) |
Enumeration Date | 2010-09-02 |
Last Update Date | 2022-07-21 |