| NPI | 1346632544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: GA 1125860) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 43844101) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |