| NPI | 1376213330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: OR 549153) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: SC 306361) |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2025-09-11 |