| NPI | 1841753837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CA 210197318) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 210197318) |
| 101YM0800X Counselor, Mental Health (Licence: CA 210197318) | |
| 101YS0200X Counselor, School (Licence: CA 210197318) | |
| 103T00000X Psychologist (Licence: CA 210197318) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 210197318) | |
| 103TC1900X Psychologist, Counseling (Licence: CA 210197318) | |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2023-09-27 |