| NPI | 1023506599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: VA 0604550) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: VA 0813000613) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2024-08-22 |