NPI | 1104437110 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: UT 64529) |
Additional Taxonomies | 103TS0200X Psychologist, School |
Enumeration Date | 2020-08-12 |
Last Update Date | 2021-07-20 |