| NPI | 1245808393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: PR 2143) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: FL 1460) |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2021-06-15 |