| NPI | 1003630500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: AL ALC04977) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 72553) |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-11-13 |