NPI | 1972941508 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY29112) |
Additional Taxonomies | 103TF0200X Psychologist, Forensic |
Enumeration Date | 2013-06-05 |
Last Update Date | 2021-03-04 |