| NPI | 1407690951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: DC PSYA200001361) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD AO414) |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-06-20 |