| NPI | 1366114332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 5239-57) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 4372491) |
| 103TS0200X Psychologist, School (Licence: WI 3001026894) | |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2024-07-24 |