| NPI | 1215552856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CA 210207323) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 1362085191) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2023-07-18 |