| NPI | 1841633419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: CA PSY26173) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS 2082) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2016-03-09 |