| NPI | 1962112631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: CA LEP) |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2022-12-02 |