| NPI | 1073497400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: CA 4706) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA 4706) | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: CA 4706) | |
| Enumeration Date | 2025-07-31 |
| Last Update Date | 2025-07-31 |