| NPI | 1598315459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 555) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA 190137740) |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-09-12 |