| NPI | 1306400825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: SC 265656) |
| Additional Taxonomies | 174400000X Specialist (Licence: SC 4699) |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-04-30 |