| NPI | 1568216398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CA 230192366) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CA 200183258) |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-04-17 |