| NPI | 1174377972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: NE 20240003760) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: OK 447270) |
| 103TS0200X Psychologist, School (Licence: FL 1427123) | |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-04-16 |