| NPI | 1144611898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: WA 557562F) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 1357772) |
| 103TS0200X Psychologist, School (Licence: NJ 947139) | |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2022-12-15 |