| NPI | 1104216951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: IN 10279824) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A10449) |
| 103TS0200X Psychologist, School (Licence: FL SS1330) | |
| 103TS0200X Psychologist, School (Licence: VA PPS-0601178) | |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2025-02-21 |