| NPI | 1285116152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: SC 274708) |
| Additional Taxonomies | 174400000X Specialist (Licence: SC 4646) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2020-02-19 |