NPI | 1972911162 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY27763) |
Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CA PSY27763) |
Enumeration Date | 2014-07-31 |
Last Update Date | 2024-03-23 |