| NPI | 1053815373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: VA PPS-0605926) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: VA 0813000943) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2024-08-29 |