| NPI | 1073737698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: GA 2994) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: MD 04803) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2012-04-17 |