| NPI | 1396391744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CA 110108663) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CO 114686) |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |