Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TS0200X | School Psychologist |
NPI | 1073913208 |
---|---|
Provider Name | Christine Cavasinni |
First Address | Palo Alto, CA 94304-2300 |
Second Address | San Francisco, CA 94124-3219 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2014 |
Last Update Date | 02/06/2020 |