| NPI | 1073398145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CA 4114) |
| Additional Taxonomies | 102X00000X Poetry Therapist |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 4114) | |
| 103TC1900X Psychologist, Counseling (Licence: CA 4114) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA 4114) | |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2024-01-03 |