| NPI | 1831939404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0200X Psychologist Forensic (Licence: OR 3603) |
| Additional Taxonomies | 103TF0200X Psychologist Forensic (Licence: CO PSY.0005795) |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-06-03 |