NPI | 1821128059 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 3507) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 21713) |
173000000X Legal Medicine (Licence: WA 26465) | |
173000000X Legal Medicine (Licence: UT 7856) | |
Enumeration Date | 2007-03-06 |
Last Update Date | 2011-06-16 |