| NPI | 1053852954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY 9086) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: FL SS 1235) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |