NPI | 1770867756 |
---|---|
Other Name | SELINA ANNE MARIE DALUZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA 22504) |
Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CA PSY22504) |
Enumeration Date | 2011-10-07 |
Last Update Date | 2019-07-29 |