| NPI | 1740041466 |
|---|---|
| Former Name | CHARLETTE MARIE HULTQUIST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 3188) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 103TS0200X Psychologist, School (Licence: CA 3188) | |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-01-19 |