NPI | 1770948432 |
---|---|
Former Name | KIMBERLY BROOKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: CA PSY34339) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY34339) |
Enumeration Date | 2015-12-23 |
Last Update Date | 2024-01-14 |