| NPI | 1265318059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: VA PGP-0702894) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: MD 33826) |
| Enumeration Date | 2025-08-15 |
| Last Update Date | 2025-08-15 |