| NPI | 1114411469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: VA 0831000969) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: VA PPS-122403) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |