| NPI | 1023311933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: WV 11128) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WV 22074) |
| 103TS0200X Psychologist, School (Licence: WV 7755) | |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2025-05-15 |