| NPI | 1003746371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CA 250114253) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL 2007) |
| Enumeration Date | 2026-05-20 |
| Last Update Date | 2026-07-16 |