| NPI | 1154835577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2017-11-21 |