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 |