| NPI | 1255294138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CA 250057533) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA LEP4662) |
| Enumeration Date | 2025-12-08 |
| Last Update Date | 2026-01-08 |