| 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 |