| NPI | 1801931795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY22210) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2013-12-17 |