| NPI | 1417561994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: MT 282251) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MT 282251) |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |