| NPI | 1194545004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: MD 9359) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NJ 1103969) |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2024-10-15 |