| NPI | 1225604150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: MS 326281) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: AZ 4670968) |
| 103TS0200X Psychologist, School (Licence: CA 170201311) | |
| 103TS0200X Psychologist, School (Licence: NV 201686) | |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2021-06-01 |