| NPI | 1295610459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: ND 000435283) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CO 24462471) |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-08-07 |