| NPI | 1255085759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: WY 77176) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: WA 491353R) |
| 103TS0200X Psychologist, School (Licence: ID 7024) | |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2022-02-04 |