| NPI | 1396883161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CA 18729) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NM 0988) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-07-08 |