| NPI | 1235910720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: SC 290427551252) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: SC 4760) |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2023-10-10 |