| NPI | 1063828259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: OR 132050) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: OR 10411871) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2023-05-15 |