Full Name:  Dr. Lesley Miller
Title/Position: Psychologist / Practice Director
Email: [email protected]
Work Phone Number: 905-335-5300
Work Address Line 1: 104-3060 Mainway Drive
Country: Canada
Province: Ontario
City: Burlington
Postal/Zip Code: Burlington
Professional Association/Affiliation: Psychologist
Name of Professional Association & Regulatory Body: College of Psychologists of Ontario
Code of Ethics: Canadian Code of Ethics for Psychologists
Professional Standing: To the best of my knowledge, I am registered or licensed to engage in independent counselling practice (i.e., cannot be Qualifying status or Provisional status).

 

Clinical Supervision Information

Highest Degree in Clinical Counselling/Psychology/Social Work (must have minimum of a master’s degree): Ph.D. Counselling Psychology
Year Obtained: 2011
Years of Clinical Counselling Experience: 21
Do you have one full year of clinically-supervised experience in post degree?:  Yes
Years of Experience in Providing Clinical Supervision: 7
Applicable Training in Supervision: 7
What supervisory role will you play in this practicum?: Co-Supervisor
Full Name:
Title/Position:
Email:
Work Phone Number:
Will you be supervising more than one Yorkville University student concurrently?: No

 

Supervisor Agreement

I acknowledge that I am not the Practicum Student’s direct Employment Supervisor and/or current therapist (i.e., refraining from dual relationships as outlined in the Supervisors Practicum Guide): Yes
I agree to uphold the requirements and procedures outlined in the Supervisors Practicum Guide.: Yes

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