| NPI | 1215242664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: OR 515097) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: AZ 4296881) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2025-08-25 |