| NPI | 1487903613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CA 3770) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2023-09-07 |