| NPI | 1336694603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: GA 1217312) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: FL 1074246) |
| 103TS0200X Psychologist, School (Licence: OK 428513) | |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |