| NPI | 1053826545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: AZ 5077742) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: IN 1391338) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2018-09-26 |