| NPI | 1205273232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: WI 727374) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: SC 261874) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2013-05-31 |