| NPI | 1235462318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 3384) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CO 0344933) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2021-09-07 |