| NPI | 1255917084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2025-06-12 |