| NPI | 1245061597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2025-09-17 |