NPI | 1831439652 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY 25541) |
Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CA PSY 25541) |
Enumeration Date | 2013-02-15 |
Last Update Date | 2019-03-19 |