| NPI | 1194200196 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: TX 33469)  | 
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: IN 10306264)  | 
| 103TS0200X Psychologist, School (Licence: IL 2463385)  | |
| 103TS0200X Psychologist, School (Licence: NE 20250011574)  | |
| 103TS0200X Psychologist, School (Licence: MN 1043857)  | |
| Enumeration Date | 2018-09-26 | 
| Last Update Date | 2025-08-26 |