| NPI | 1760151716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CA 210076076) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: AR 10156205) |
| Enumeration Date | 2021-09-12 |
| Last Update Date | 2021-09-12 |