| NPI | 1982847059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: CA PSY25810) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 103TF0200X Psychologist, Forensic | |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2013-08-22 |