| NPI | 1487135505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CA LEP3244) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA LEP3244) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |