NPI | 1730247560 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: CA Psy9475) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA Psy 9475) |
103T00000X Psychologist (Licence: GA PS-T000825) | |
103T00000X Psychologist (Licence: GA Psy003252) | |
Enumeration Date | 2006-12-05 |
Last Update Date | 2010-09-14 |