| NPI | 1104499680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: ID 7024) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| 103TS0200X Psychologist, School (Licence: CA 170214308) | |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2023-02-24 |