| NPI | 1831434893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 27826) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2020-12-14 |