| NPI | 1447121298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: NC 1285439) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: IL 2739225) |
| Enumeration Date | 2025-09-15 |
| Last Update Date | 2025-09-15 |