| NPI | 1457535098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CA LEP 2925) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CA LEP 2925) |
| 103T00000X Psychologist (Licence: CA LEP 2925) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA LEP 2925) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA LEP 2925) | |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |