| NPI | 1487161964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CA LEP3619) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA LEP3619) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-01-05 |