| NPI | 1073745592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: AZ 4193867) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA 090122050) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2009-08-17 |