NPI | 1992190383 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA Psy26976) |
Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CA Psy26976) |
Enumeration Date | 2015-04-01 |
Last Update Date | 2018-03-31 |