| NPI | 1063698850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA LEP3826) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TS0200X Psychologist School (Licence: CA 220040341) | |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2023-01-10 |