NPI | 1053060871 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: LA LSSP018) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 72142) |
Enumeration Date | 2022-03-20 |
Last Update Date | 2022-03-20 |