| NPI | 1427626795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: LA LSSP034) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: FL SS699) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2024-11-07 |