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 |